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  • April 2010 (Revised June 2010)
  • Background Note

The U.S. Life Insurance Industry

By: Robert C. Pozen and McCall Ann Merchant
This note provides a background on the US life insurance regimes for the life insurance industry, including descriptions of different types of insurance, annuities, and regulation. View Details
Keywords: Insurance; Insurance Industry; United States
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Pozen, Robert C., and McCall Ann Merchant. "The U.S. Life Insurance Industry." Harvard Business School Background Note 310-091, April 2010. (Revised June 2010.)
  • July 2010
  • Technical Note

Note on the Insurance Industry

By: Clayton S. Rose and Scott Waggoner
This note provides an overview of the structure and function of the Insurance industry, with a primary focus on the U.S. It was designed to support the HBS MBA course "Managing the Financial Firm." View Details
Keywords: Insurance; Business or Company Management; Industry Structures; Insurance Industry; United States
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Rose, Clayton S., and Scott Waggoner. "Note on the Insurance Industry." Harvard Business School Technical Note 311-012, July 2010.
  • January 2019 (Revised June 2019)
  • Technical Note

U.S. Commercial Health Insurance Industry

By: Susanna Gallani, Mary Witkowski and Harry B. Wolberg
This note describes the role of commercial payers in the U.S. healthcare industry. We begin with a review of the historical evolution of commercial payers and their role in the market, from the beginning to the Affordable Care Act and beyond. Every wave of reforms in... View Details
Keywords: Health Care and Treatment; Insurance; Governing Rules, Regulations, and Reforms; Organizational Change and Adaptation; Health Industry; Health Industry; United States
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Gallani, Susanna, Mary Witkowski, and Harry B. Wolberg. "U.S. Commercial Health Insurance Industry." Harvard Business School Technical Note 119-064, January 2019. (Revised June 2019.)
  • August 2012 (Revised January 2013)
  • Case

Public Health Insurance Exchanges: The Massachusetts Experience

By: Regina Herzlinger and Jordan Bazinsky
The CEO of Tufts Health Plan, James Roosevelt, is wondering whether to offer insurance products on the Massachusetts Connector, the first U.S. exchange. He wonders if he should enter these uncharted waters at all. And, if yes, with a broad network or a narrow network... View Details
Keywords: Health Insurance Exchange; Healthcare Reform; Public Health Insurance Exchange; Decision Making; Market Entry and Exit; Emerging Markets; Health Care and Treatment; Insurance Industry; Insurance Industry; Massachusetts
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Herzlinger, Regina, and Jordan Bazinsky. "Public Health Insurance Exchanges: The Massachusetts Experience." Harvard Business School Case 313-043, August 2012. (Revised January 2013.)
  • 2010
  • Working Paper

The Insurance Industry in Brazil: A Long-term View

By: Marcelo de Paiva Abreu and Felipe Tamega Fernandes
This paper surveys the formation and development of insurance business in Brazil. It describes its origins, from the colonial times and imperial era to recent events. Particular attention is given to regulatory changes, showing how they evolved in response to... View Details
Keywords: History; Insurance; Insurance Industry; Brazil
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Abreu, Marcelo de Paiva, and Felipe Tamega Fernandes. "The Insurance Industry in Brazil: A Long-term View." Harvard Business School Working Paper, No. 10-109, June 2010.
  • November 1989
  • Background Note

Note on the U.S. Life Insurance Industry

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Meerschwam, David M. "Note on the U.S. Life Insurance Industry." Harvard Business School Background Note 290-012, November 1989.
  • December 2021
  • Case

Slice Labs: Creating a Fraud-free Online Insurance Platform

By: Amit Goldenberg, Max Bazerman and Ruth Page
"Slice Labs: Creating a Fraud-Free Online Insurance Platform" engages students with the challenge of how to influence other parties to not engage in fraud in the context of digital insurance. The case is centered around Slice, a digital insurance company that was... View Details
Keywords: Technology; Insurance; Digitization; Honesty; Negotiation; Fraud; Ethics; Negotiation Process; Negotiation Tactics; Negotiation Types; Social Psychology; Conflict and Resolution; Trust; Fairness; Moral Sensibility; Values and Beliefs; Crime and Corruption; Insurance Industry; Insurance Industry; United States; Canada
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Goldenberg, Amit, Max Bazerman, and Ruth Page. "Slice Labs: Creating a Fraud-free Online Insurance Platform." Harvard Business School Multimedia/Video Case 921-712, December 2021.
  • 1999
  • Other Unpublished Work

Value and Reporting in the Insurance Industry

By: Robert G. Eccles Jr. and Michael P. Nelligan
Keywords: Financial Reporting; Insurance Industry
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Eccles, Robert G., Jr., and Michael P. Nelligan. "Value and Reporting in the Insurance Industry." PricewaterhouseCoopers, January 1999.
  • February 2019
  • Article

Does It Matter If Your Health Insurer Is For Profit? Effects of Ownership on Premiums, Insurance Coverage, and Medical Spending

By: Leemore S. Dafny
There is limited empirical evidence about the impact of for-profit health insurers on various outcomes. I study the effects of conversions to for-profit status by Blue Cross Blue Shield (BCBS) affiliates in 11 states, spanning 28 geographic markets. I find both the... View Details
Keywords: Health Insurance; Medical Loss Ratio; Blue Cross; Corporate Governance; Health; Insurance; For-Profit Firms; Insurance Industry; United States
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Dafny, Leemore S. "Does It Matter If Your Health Insurer Is For Profit? Effects of Ownership on Premiums, Insurance Coverage, and Medical Spending." American Economic Journal: Economic Policy 11, no. 1 (February 2019): 222–265.
  • September 1998 (Revised February 1999)
  • Case

Interactive Insurance Services: Redefining Insurance Distribution

By: Lynda M. Applegate and Marla Malcom-Nagler
Founded in July 1995, Interactive Insurance Services provided personal lines of insurance over the World Wide Web. In June 1996, the company was acquired by Intuit for $7.5 million. The case details the competitive and organizational issues faced by this rapidly... View Details
Keywords: Acquisition; Restructuring; Growth and Development; Distribution; Business Processes; Competitive Strategy; Web; Insurance Industry
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Applegate, Lynda M., and Marla Malcom-Nagler. "Interactive Insurance Services: Redefining Insurance Distribution." Harvard Business School Case 399-017, September 1998. (Revised February 1999.)
  • May 2013
  • Supplement

Paul Thomson: Walker Insurance

This is the Spreadsheet Supplement for Walker Insurance: Paul Thomson (HBS Case 813057). Includes Exhibit 1a, Exhibit 1b, Exhibit 2, Exhibit 4, Exhibit 5, Exhibit 6, and Exhibit 7. View Details
Keywords: Entrepreneurial Organizations; Entrepreneurs; Entrepreneurship; Search; Search Funds; Sales Force Management; Sales; Sales Channels; Insurance And Reinsurance; Insurance Companies; Acquisitions; Hiring; Service Management; Service; Insurance; Salesforce Management; Selection and Staffing; Insurance Industry; United States
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Sharpe, Jim. "Paul Thomson: Walker Insurance." Harvard Business School Spreadsheet Supplement 813-708, May 2013.
  • June 2018
  • Teaching Note

Zurich Insurance

By: Boris Groysberg, David Lane and Joni Coughlin
This teaching note addresses six cases in the Zurich Insurance series, the overview case (HBS No. 417-035) and five cases focused on particular change efforts (HBS Nos. 417-036 through 417-040).
Zurich Insurance was undergoing organizational change after... View Details
Keywords: Managing Change; Organizational Behavior; Diversity Management; Organizational Architecture; Recruiting; Succession Planning; Management; Organizational Culture; Organizational Change and Adaptation; Leading Change; Human Capital; Human Resources; Insurance; Leadership; Diversity; Organizational Structure; Recruitment; Leadership Development; Management Succession; Insurance Industry
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Groysberg, Boris, David Lane, and Joni Coughlin. "Zurich Insurance." Harvard Business School Teaching Note 418-071, June 2018.
  • Article

Asset Accumulation and Labor Force Participation of Disability Insurance Applicants

By: Pian Shu
This paper provides empirical evidence of the existence of forward-looking asset-accumulation behavior among disability-insurance applicants, previously examined only in the theoretical literature. Using panel data from the RAND Health and Retirement Study, I show that... View Details
Keywords: Disability Insurance; Asset Accumulation; Labor Force Participation; Assets; Behavior; Employment; Insurance; Insurance Industry; United States
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Shu, Pian. "Asset Accumulation and Labor Force Participation of Disability Insurance Applicants." Journal of Public Economics 129 (September 2015): 26–40.
  • 2013
  • Working Paper

Asset Accumulation and Labor Force Participation of Disability Insurance Applicants

By: Pian Shu
Using panel data from the RAND Health and Retirement Study, I show that rejected applicants for Social Security Disability Insurance (SSDI) possess significantly more assets immediately prior to their application and exhibit lower labor force attachment than accepted... View Details
Keywords: Disability Insurance; Asset Accumulation; Labor Force Participation; Assets; Behavior; Employment; Insurance; Insurance Industry; United States
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Shu, Pian. "Asset Accumulation and Labor Force Participation of Disability Insurance Applicants." Harvard Business School Working Paper, No. 14-008, July 2013.
  • March 2024 (Revised January 2025)
  • Case

Hippo: Weathering the Storm of the Home Insurance Crisis

By: Lauren Cohen, Grace Headinger and Sophia Pan
Rick McCathron, CEO of Hippo, considered how the firm’s underwriting model could account for the effects of climate change. Along with providing smart home packages, targeting risk-friendly customers, and using data-driven pricing, the Insurtech used technologically... View Details
Keywords: Fintech; Underwriters; Big Data; Insurance Companies; Business Model Design; Weather Insurance; Business Model; Forecasting and Prediction; Climate Change; Environmental Sustainability; Green Technology; Technological Innovation; Natural Environment; Natural Disasters; Weather; Business Strategy; Competitive Advantage; Business Earnings; Insurance; Social Issues; Insurance Industry; United States; California
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Cohen, Lauren, Grace Headinger, and Sophia Pan. "Hippo: Weathering the Storm of the Home Insurance Crisis." Harvard Business School Case 224-080, March 2024. (Revised January 2025.)
  • 2017
  • Working Paper

The Importance of Unemployment Insurance as an Automatic Stabilizer

By: Marco Di Maggio and Amir Kermani
We assess the extent to which unemployment insurance (UI) serves as an automatic stabilizer to mitigate the economy's sensitivity to shocks. Using a local labor market design based on heterogeneity in local benefit generosity (defined as the percentage of household... View Details
Keywords: Unemployment Insurance; Automatic Stabilizers; Bartik Shocks; Aggregate Demand; System Shocks; Employment; Balance and Stability; Insurance; Volatility; Insurance Industry
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Di Maggio, Marco, and Amir Kermani. "The Importance of Unemployment Insurance as an Automatic Stabilizer." Harvard Business School Working Paper, No. 17-009, July 2016. (Revise and Resubmit to American Economic Journal: Macroeconomics.)
  • August 2012 (Revised December 2023)
  • Background Note

Note on Health Insurance Coverage, Coding, and Payment

By: Regina E. Herzlinger and Jo Ellen Slurzberg
This note explains how health care technology and service innovators receive payment from government insurers, in the U.S. and abroad, and from private insurers. It describes each of the three steps needed to obtain reimbursement: coverage, coding, and payment. It also... View Details
Keywords: Health Care Delivery; Health Care Costs; Health Insurance; Health Insurance Marketplaces; Health Care and Treatment; Cost; Insurance; Innovation and Invention; Private Sector; Public Sector; Decision Making; Information Technology; Health Industry; Health Industry
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Herzlinger, Regina E., and Jo Ellen Slurzberg. "Note on Health Insurance Coverage, Coding, and Payment." Harvard Business School Background Note 313-042, August 2012. (Revised December 2023.)
  • July 2019 (Revised March 2020)
  • Case

At-Bay Cyber Insurance

By: Marco Di Maggio and David Lane
At-Bay was a cyber insurance startup that offered companies coverage against a wide array of cyber risks—exposure to which the firm was able to quickly assess and price on the basis of technical expertise that traditional insurance carriers lacked. In mid-2019, At-Bay... View Details
Keywords: Business Startups; Insurance; Disruptive Innovation; Risk Management; Product Marketing; Distribution Channels; Information Technology; Salesforce Management; Insurance Industry
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Di Maggio, Marco, and David Lane. "At-Bay Cyber Insurance." Harvard Business School Case 220-005, July 2019. (Revised March 2020.)
  • November 1995 (Revised April 1998)
  • Case

National Insurance Corporation

The case visits the catastrophe insurance business at an interesting time in the history of the insurance markets. A major reinsurer, National Insurance, is taking a look at the new insurance derivatives being traded on the Chicago Board of Trade with a view to using... View Details
Keywords: Risk Management; Insurance; Capital Markets; Insurance Industry; United States
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Das, Sanjiv R., and Nils C. Haugestad. "National Insurance Corporation." Harvard Business School Case 296-036, November 1995. (Revised April 1998.)
  • August 2012 (Revised June 2013)
  • Case

Paul Thomson: Walker Insurance

By: Michael Roberts, Jim Sharpe and Sonia Nagala Change
Having just acquired Walker Insurance, Paul Thomson finds himself short of funds to support his original turnaround plan. He can request additional cash from his investor group, hunker down and grow at a slower rate or consider a proposal to buy his business. He has... View Details
Keywords: Crisis Management; Acquisitions; Search Funds; Entrepreneurial Management; Entrepreneurs; Insurance; Turnarounds; Boards Of Directors; Sales Force Management; Entrepreneurship; Insurance Industry; Florida
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Roberts, Michael, Jim Sharpe, and Sonia Nagala Change. "Paul Thomson: Walker Insurance." Harvard Business School Case 813-057, August 2012. (Revised June 2013.)
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